MEDICARE: MATTHEW C DEUTSCHER MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME0054767	FL

General Provider Information

NPI Number	:	1558524827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATTHEW C DEUTSCHER MD PA

Provider Business Mailing Address
First Line	:	831 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-4180
Country	:	US
Telephone Number	:	954-344-0303
Fax Number	:	954-344-0010

Provider Business Practice Location Address
First Line	:	831 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-4180
Country	:	US
Telephone Number	:	954-344-0303
Fax Number	:	954-344-0010

Authorized Official
Title or Position	:	CEO
Name	:	MATTHEW CARL DEUTSCHER
Credential	:	M.D.
Telephone Number	:	954-344-0303

Provider Enumeration Date	:	07/08/2008
Last Update Date	:	04/20/2012

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